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Force model for laparoscopic graspers: implications for virtual simulator design
Published in Taylor and Francis Ltd
2017
PMID: 27841700
Volume: 26
   
Issue: 2
Pages: 97 - 103
Abstract
Introduction: Laparoscopic graspers limit haptic perception, which in turn leads to tissue damage. Using virtual simulators to train surgeons in handling these instruments would ensure safer grasp. The design of a laparoscopic virtual simulator with force feedback depends on effective implementation of the grasper force model. Objective: To develop a laparoscopic grasper tip force model theoretically from grasper mechanics and validate the same experimentally during laparoscopic pinching. Materials and methods: We developed a force model for double and single jaw action graspers using grasper mechanics. For experimental validation, the handle angle and the forces at the tip and the handle of the instrumented graspers during laparoscopic pinching of porcine abdominal tissues were measured. The intra-class correlation coefficient (ICC) between experimental and calculated tip force was calculated. Result: Excellent ICC (ICC ≥0.8, p<.001) between calculated and experimental tip force was obtained for both graspers for all grasped tissues. Mean absolute forces for all trials while using double and single jaw action graspers were ((FTc= 1.7N, FTe= 1.8N) and (FTc= 2.2N, FTe= 2.8N)) for gall bladder, ((FTc= 3.4N, FTe= 4.4N) and (FTc= 3.3N, FTe= 3.4N)) for liver and ((FTc= 4.2N, FTe= 4.5N) and (FTc= 2.3N, FTe= 2.6N)) for spleen, respectively. Conclusion: The proposed model may be used for the design of laparoscopic pinching action in a virtual simulator with force feedback and also for better ergonomic design of laparoscopic graspers. © 2016 SMIT - Society for Minimally Invasive Therapy.
About the journal
JournalData powered by TypesetMinimally Invasive Therapy and Allied Technologies
PublisherData powered by TypesetTaylor and Francis Ltd
ISSN13645706
Open AccessNo
Concepts (36)
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    Animal tissue
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    Article
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    Correlation coefficient
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    Ergonomics
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    Gallbladder
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    LAPAROSCOPIC GRASPER
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    Liver
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    Measurement
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    Nonbiological model
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    Nonhuman
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    Parameters
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    Pig
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    Priority journal
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    Simulator
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    Spleen
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    SURGICAL EQUIPMENT
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    ABDOMEN
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    Animal
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    Bioengineering
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    Computer interface
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    Devices
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    Equipment design
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    Feedback system
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    Laparoscopy
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    Male
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    Procedures
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    Surgery
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    Teaching
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    Validation study
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    ABDOMEN
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    Animals
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    Computer-assisted instruction
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    Feedback
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    Human engineering
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    Swine
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    User-computer interface